_______________________

REGISTRY OF DEEDS FOR __________

____________________________________

____________________________________

Sir/Ma’am:

The undersigned would like to respectfully request your good office for the correction of my
name appearing on the Original Certificate of Title No. ________.

In the said title, my name was erroneously typed as “JESA” instead of my true and correct
name “JESSA”.

Attached are copies of my Certificate of Live Birth, Affidavit of Discrepancy and Owner’s
Duplicate Copy of OCT No. __________ as proof of my claim.

Thank you very much and more power.

Sincerely yours,

JESSA E. WAN